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5 дней назад

Liability Claim Specialist (Michigan)

67 371 - 80 000$
Формат работы
hybrid
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Liability Claim Specialist (Michigan) (Insurance Claims): Managing complex Michigan liability claims from initial review through resolution with an accent on coverage analysis, investigations, damages evaluation, and settlement negotiation. Focus on catastrophic injury claims, MCCA and attorney-represented cases, applying Michigan insurance and no-fault law, and determining appropriate payments and recovery options.

Location: MI-Fremont Insurance, Fremont, Michigan; hybrid schedule with remote work from a home office and occasional travel. Monday-Friday, 8:00 a.m.-5:00 p.m. Eastern Time.

Salary: $67,371.20-$80,000 annually, plus potential annual company bonus incentive.

Company

hirify.global provides insurance, membership, travel, financial services, and roadside assistance through AAA, Meemic, and Fremont brands across 14 states and two U.S. territories.

What you will do

  • Manage complex Michigan liability claims from assignment through closure, including claimant communication, documentation, and claim-system activities.
  • Investigate claim facts, evaluate coverage, policy limits, exclusions, damages, financial value, and recovery potential.
  • Handle MCCA, catastrophic injury, and attorney-represented claims involving insureds, guardians, conservators, attorneys, treatment teams, and case managers.
  • Determine and approve appropriate payments, create sub-claims, and refer cases to underwriting, recovery, or special investigation units when required.
  • Apply state law and negotiate claim settlements while maintaining complete claim files and resolution plans.
  • Travel within and outside the assigned territory, including visits to repair facilities, homes, patients, and other locations as needed.

Requirements

  • At least three years of experience or equivalent training in claim settlement negotiation, evidence evaluation, estimating, subrogation, coverage analysis, statements, and claim resolution planning.
  • Completion of the ACG Claim Representative Training Program or equivalent knowledge and experience.
  • Eligibility to obtain and maintain a state adjuster's license within 90 days where required.
  • Advanced knowledge of Michigan insurance, negligence, no-fault, no-fault reform, subrogation, intercompany arbitration, medical terminology, human anatomy, and simple litigation.
  • Strong investigation, analytical, communication, customer service, organization, decision-making, and negotiation skills.
  • A valid driver's license is required when duties include in-person inspections or frequent member meetings; the role may require evening, weekend, or overnight travel.

Nice to have

  • Associate degree in business administration, insurance, or a related field.
  • Insurance Institute of America General Insurance Program, Associate in Claims, Associate in Management, or equivalent qualification.
  • CPCU coursework or designation.

Culture & Benefits

  • Hybrid work arrangement with remote home-office operations and occasional meetings, collaboration, team-building activities, and travel.
  • Medical, prescription, dental, vision, HSA, FSA, employee assistance, life, disability, critical illness, accident, and pet insurance options.
  • 401(k) plan with company matching and additional contributions, subject to plan terms.
  • Paid time off, company holidays, mental health and floating holidays, volunteer time, and parental, bereavement, jury duty, and military leave.
  • Tuition assistance, professional certification reimbursement, career development opportunities, AAA membership, roadside assistance, travel discounts, and adoption assistance.

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